Review Article

Comparing the Efficacy and Safety of Glucagon-Like Peptide 1 Receptor Agonists with Sodium-Glucose Cotransporter 2 Inhibitors for Obese Type 2 Diabetes Patients Uncontrolled on Metformin: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Table 2

Summary of findings and strength of evidence.

OutcomeStudies (patients)Mean differences/relative effect (95% CI)I2Certainty of the evidence

HbA1c (%)3 (2066)MD: −0.40 (−0.54, −0.25)44%Low1,2
FBG (mmol/L)3 (2066)MD: −0.17 (−0.31, −0.04)0Low1,2
PBG (mmol/L)2 (1609)MD: −0.32 (−0.49, −0.14)44%Low1,2
Bodyweight (kg)3 (2066)MD: −0.26 (−0.93, 0.42)77%Very Low1,2,3
Adverse events3 (2068)RR: 1.03 (0.98, 1.09)0Low1,2
Hypoglycemia2 (1605)RR: 1.38 (0.96, 1.98)35%Low1,2
Urinary tract infections2 (1249)RR: 0.98 (0.60, 1.58)0Moderate2
Gastrointestinal events2 (1249)RR: 1.62 (1.37, 1.93)0Moderate2

HbA1c: glycated haemoglobin, FBG: fasting blood glucose, PBG: postprandial blood glucose, CI: confidence interval, RR, risk ratio; MD, mean difference. 1Study limitations for one of the trail lacked of blinding. 2Strongly suspected publication bias for all the trials were sponsored by companies. 3Inconsistency for substantial heterogeneity.